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Women show a higher level of anxiety during IVF treatment than men and hold different concerns: a cohort study.

Abstract：

PURPOSE:The aim of the present study was to determine levels of anxiety during the course of IVF treatment and gender differences in treatment anxiety. METHODS:This was a prospective cohort study set in a university affiliated, tertiary care IVF program. 119 women and 82 men entering the clinic to undergo IVF treatment filled out questionnaires containing the Spielberger state-trait-anxiety-inventory (STAI) as well as further items on specific stress triggers. RESULTS:Women and men undergoing IVF have higher levels of anxiety than the average population in Germany. Overall, female patients show significantly higher values (mean ± SD) for state and trait anxiety (47.4 ± 11.0 and 40.1 ± 9.85) than their male partners (41.4 ± 9.66 and 35.3 ± 8.57, p < 0.01). Over the course of several IVF cycles, average STAI scores increased for both genders. When asked about specific stress factors on a 4-point scale from 'not at all' to 'very much so', women report as their main anxiety the failure to achieve a successful pregnancy, scoring significantly higher on questions like 'obtaining a negative pregnancy test' (3.24 ± 0.82, p < 0.01) and 'disclosure of infertility' (3.02 ± 1.10, p < 0.001). Their male partners are more concerned about the health risks the women have to take such as 'side effects of ovarian stimulation' (2.55 ± 0.77, p = 0.002) and 'bleeding or infection after the oocyte aspiration' (2.58 ± 0.84, p = 0.007). Both genders indicated to be very little worried about multiple pregnancies after IVF. CONCLUSIONS:Women show a higher level of anxiety during IVF treatment and hold different concerns. Neither of the sexes appears to be familiar with the risks associated with multiple pregnancies, a matter that should better be addressed.

journal_name

Arch Gynecol Obstet

journal_title

Archives of gynecology and obstetrics

authors

Schaller MA,Griesinger G,Banz-Jansen C

doi

10.1007/s00404-016-4033-x

subject

Has Abstract

pub_date

2016-05-01 00:00:00

pages

1137-45

issue

eissn

0932-0067

issn

1432-0711

pii

10.1007/s00404-016-4033-x

journal_volume

293

pub_type

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Women show a higher level of anxiety during IVF treatment than men and hold different concerns: a cohort study.